Advancing Excellencein Americas Nursing HomesCampaignMaking nursing homes better places to live, work and visit

OUR MISSIONOUR VISIONEvery nursing home resident in America experiences person-centered quality of life as a result of a stable and empowered workforce, dedicated to improving clinical and organizational outcomes, and engaging in open communication and transparency.

Campaign OverviewHow We Got StartedOur MembersContinuing Our Work

Campaign OverviewTHE CAMPAIGN INCLUDES:More than 60% (9,455) of the nations nursing homes 3,578 consumers3,216 nursing home staff members52 state-based Local Area Networks of Excellence (LANEs)

Circle ofSuccess

Nine New GoalsPROCESS GOALSImproving Staff StabilityIncreasing Use of Consistent AssignmentIncreasing Person-Centered CareSafely Reducing HospitalizationsContinued

Nine New GoalsCLINICAL GOALSUsing Medications AppropriatelyIncreasing Resident MobilityPreventing and Managing Infections SafelyReducing Pressure UlcersDecreasing Symptoms of Pain

To Engage and Challenge Nursing HomesExpected OutcomesTo Provide Valuable Data and Quality Improvement

To Establish National Standards and Best PracticesExpected OutcomesBecoming a Central Voice for Quality Initiatives

Broader ImpactNew CMS Quality Assurance/Performance Improvement requirements emphasize: Problem identificationData collectionRoot-cause analysisPerformance measurement and trackingAdvancing Excellence and QAPI

Broader ImpactElement 1Design and ScopeElement 2Governance and LeadershipElement 3Feedback, Data Systems and MonitoringElement 4Performance Improvement Projects Element 5Systematic Analysis and Systemic Action5 Elements of QAPI

Broader Impact

Quality AssurancePerformance ImprovementReactiveProactiveEpisode or event-basedAggregate data and patternsPrevent recurrenceOptimize processSometime anecdotalAlways measurableRetrospectiveConcurrentAudit-based monitoringContinuous monitoringSometimes punitivePositive change

Broader ImpactAdvancing Excellence goal packages can help nursing homes align with QAPIGoals include clinical, resident choice and organizational infrastructure topics (QAPI Element 1 and 4)Advancing Excellences Circle of Success PDSA change framework for systematic performance analysis leading to systemic action (QAPI Element 5)Data measurement and tracking tools (QAPI Elements 3, 4 and 5)Using Advancing Excellence to support QAPI

Broader ImpactAdvancing Excellence goal packages can help nursing homes align with QAPIRoot-cause analysis tools called Probing Questions (QAPI Element 5)Measures created from best available evidence (QAPI Element 1)Vetted resources to guide interventions (QAPI Element 4)Consumer, staff and leadership fact sheets (QAPI Element 2) Using Advancing Excellence to support QAPI

About the CampaignNational, Voluntary, AlignedRegistered Participant/Active ParticipantRegister, Update ProfileSelect GoalsSubmit Data

Quality Improvement Resources for NINE New Goals*

Organizational Goals*

PlanDoStudyAct*

Explore the Goal

www.nhqualitycampaign.org

*Why Choose Mobility?

PlanDoStudyAct

Where am I?

PlanDoStudyAct

StudyExamine ProcessesProbing Questions

PlanDoStudyAct*

*Improvehttp://www.nhqualitycampaign.org/star_index.aspx?controls=MobilityImprove

*Engage

The Tracking Tools*AE_YourGoalTrackingTool.xls

QA and PI

Quality AssurancePerformance ImprovementReactiveProactiveEpisode or event-basedAggregate data & patternsPrevent recurrenceOptimize processSometime anecdotalAlways measurableRetrospectiveConcurrentAudit-based monitoringContinuous monitoringSometimes punitivePositive change

QA and PI

Quality AssurancePerformance ImprovementReactiveProactiveEpisode or event-basedAggregate data & patternsPrevent recurrenceOptimize processSometime anecdotalAlways measurableRetrospectiveConcurrentAudit-based monitoringContinuous monitoringWhat went wrong?How can we be excellent?

Easy view of individual records allows resident-level view

Matrix of individual data allows scanning for patterns

Summary information helps identify opportunities to improve at the system levelTracking Tools Support QA and PI

Data and the Quality Improvement ProcessHow do I know where I am?

Where do I want to be?

What processes are associated with my outcome?

When I change a process, how do I know it had the effect I wanted?

How am I doing compared to other nursing homes working on this goal? *

Staff Stability

Consistent Assignment

Person Centered Care

Hospitalizations

Infections

Medications

Mobility

Pressure Ulcers

Pain

Maintain your status as an Active ParticipantLet consumers find you and display your contact information and a link to your websiteView your data: Trend graphs display your progress over timeSee your progress compared to other Campaign participants within your state and the nationMonthly Data Entry on the AE WebsiteFrom YouFor YouEnter ONLY summary data from your tracking tool just a few numbers each month.Estimated time: 10 minutes or less

Whats NextStrengthening the LanesIncreasing Nursing Home ParticipationExpanding Campaign Outreach

Thank you!Visit Uswww.nhqualitycampaign.org

Connect OnlineContact UsAdrienne Thomasathomas@aeltcc.org(202) 508-9439

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